2023 Form 5500 filing — K Ii Holding Company Group Medical Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240221131745NAL0001207363001) for K Ii Holding Company Group Medical Plan, reported by K Ii Holding Company under EIN 26-4366175 and plan number 502. It reports 151 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240221131745NAL0001207363001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- K Ii Holding Company
- EIN
- 26-4366175
- Plan number
- 502
- Location
- Camp Hill, PA
- Participants
- 151
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $440,262
- Total liabilities (EOY)
- $122,895
- Net assets (EOY)
- $317,367
- Employer contributions
- $1,364,637
- Participant contributions
- $598,460
- Total income / additions
- $2,077,444
- Benefits paid
- $1,464,713
- Administrative expenses
- $141,113
- Total expenses
- $1,605,826
- Net increase / (decrease)
- $471,618
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Brown & Brown Of Pa | BROKER | $69,459 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $33,896 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $28,034 | not reported in the loaded dataset |
| Brown & Brown Of Pa | BROKER | $17,940 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $9,725 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $7,029 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $2,438 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $0 | not reported in the loaded dataset |